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Revision Knee Replacement

    • Revision knee replacement, also known as revision TKR, is a surgical procedure performed when a previous knee replacement has failed.
    • Reasons for revision TKR include infection, implant loosening, wear and tear, instability, or fracture around the knee replacement.
    • It's a complex procedure that involves removing the failed components of the original knee replacement and replacing them with new ones.

    Pre-operative evaluation typically includes imaging studies such as X-rays, CT scans, or MRIs to assess the extent of damage. Surgery may involve addressing bone loss with bone grafts or using specialized implants designed for revision cases. Recovery from revision TKR can be longer and more challenging compared to primary knee replacement due to scar tissue and altered anatomy. Physical therapy plays a crucial role in rehabilitation, focusing on restoring range of motion, strength, and function. Complications such as infection, blood clots, stiffness, or nerve injury can occur, but are minimized with careful surgical technique and post-operative care. Patients should follow their surgeon's instructions regarding activity restrictions, medications, and follow-up appointments. The success rate of revision TKR varies depending on factors such as the reason for revision, patient's overall health, and surgeon's experience. Advances in surgical techniques, implant materials, and perioperative care have improved outcomes for revision TKR in recent years. Rehabilitation may involve the use of assistive devices like walkers or crutches initially, gradually transitioning to cane use and then independent walking. Patients should communicate any concerns or changes in symptoms to their healthcare team promptly during the recovery process. Long-term outcomes of revision TKR can be favorable, with many patients experiencing improved pain relief and function. Support from family, friends, and healthcare professionals is essential for a successful recovery journey after revision knee replacement.

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